Individual provider Active NPI

Hannah Leslie Vaughn, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1215425848
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136796 Issued in TX
Practice address
5253 Prue Rd Ste 315C
San Antonio, TX 78240-1758
Phone
(210) 785-5255
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136796 TX Primary

Addresses

Primary practice location

5253 Prue Rd Ste 315C
San Antonio, TX 78240-1758

Mailing address

5253 Prue Rd Ste 315C
San Antonio, TX 78240-1758
Phone (210) 785-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180813000913 TX Practitioner - Nurse Practitioner 9436407178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Lotus Medical Group LLCGroup PAC ID 7113458522, 6 clinicians

Practice addresses (Care Compare)

7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1599
Phone (817) 910-6711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LHCG Cxxxi, LLC Family CurrentSince Dec 1, 2020 Accepting new patients
Blue Lotus Medical Group LLC CurrentSince Aug 1, 2025 Accepting new patients
Oncology San Antonio CurrentSince May 1, 2018 Accepting new patients
LHCG Cxvii, LLC PastSince Apr 5, 2020 Accepting new patients
Radiation Oncology of San Antonio, PA PastSince May 1, 2018 Accepting new patients
Yun W Kim, MD, PA PastSince Mar 1, 2020 Accepting new patients
Trinity Med Care Past Accepting new patients

Locations

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

202 Baltimore
San Antonio, TX 78215
Phone (210) 299-8000

19288 Stone Oak Pkwy
#B
San Antonio, TX 78258
Phone (210) 490-2707

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1215425848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 PRUE RD STE 315C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401758",
            "telephone_number": "210-785-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5253 PRUE RD STE 315C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401758",
            "telephone_number": "210-785-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "HANNAH",
        "middle_name": "LESLIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.